Trendelenburg

Transcript

1. Trendelenburg Gait Pattern
2. ->Hip abductor weakness ->Makes it difficult to support the body’s weight on the affected side
3. Normal Gait Both legs bear half of the body weight ! (E.g Left leg is lifted as the right leg takes the entire weight) ! Normal Gait vs. Trendelenburg Gait Trendelenburg Pelvis drops instead of rising on the unsupported side ! (E.g muscular dystrophies or polio) !
4. Clinically Relevant Anatomy Gluteus Medius ! O: Gluteal surface of ilium ! I: Lat. aspect of greater trochanter ! N: Superior gluteal nerve Gluteus Minimus ! O: Gluteal surface of ilium ! I: Anterior aspect of greater trochanter ! N: Superior gluteal nerve Trendelenburg: Neuromuscular weakness
5. Epidemiology Neuromuscular weakness Hip dysplasia Legg-Calve Perthes Hip replacement Slipped capital femoral epiphysis
6. Clinical Presentation Compensated Trunk leans ipsilaterally to the side of the stance leg
7. Clinical Presentation Uncompensated Contralateral pelvic drop during single-limb support Stance leg’s hip abductors are unable to produce enough force to hold the pelvis level
8. Modified McKay Criteria Grade Criteria Excellent Fair Stable, painless hip; (-), Full ROM Poor Good Stable, painless; slight limp; slight decrease in ROM Stable, painless hip; limp; (+), Limited ROM or a combination of all these Unstable or painful hip or both; (+)
9. Physical Therapy Management
11. Work Cited http://www.physio-pedia.com/Trendelenburg_Gait http://www.thestudentphysicaltherapist.com/ trendelenburg-test.html Mansfield, Paul Jackson. "Kinesiology of Human Gait." Essentials of Kinesiology for the Physical Therapist Assistant. Mosby Elsevier, 2009. 352. Print.